Metronidazole (all routes except local only) updated on 01-29-2025

Early intrauterine death (< 22 weeks)

R analysis
id Study   Lib. in paper Exposition period    Study type  Control type 
 
Tags OR 95%CI x1/n1 x0/n0 no cases no exposed ROB Ref.
S17598
R74293
Muanda b (Controls exposed to penicillins), 2017 Spontaneous abortion (before the 20th week of gestation) during pregnancy (anytime or not specified) nested case control exposed to other treatment, sick excluded Adjustment: Yes Matched 1.97 [1.45;2.67]
excluded (control group)
53/-   8,649/- 8,702 -
ref
S17599
R74294
Muanda b (Controls unexposed, NOS), 2017 Spontaneous abortion (before the 20th week of gestation) during pregnancy (anytime or not specified) nested case control unexposed (general population or NOS) Adjustment: Yes Matched 1.70 [1.27;2.26] 53/-   8,649/- 8,702 -
ref
S17590
R74235
Diav-Citrin, 2001 Miscarriages during pregnancy (anytime or not specified) prospective cohort unexposed (general population or NOS) Adjustment: No 1.09 [0.60;1.98] C 16/204   44/608 60 204
ref
Total 2 studies 1.47 [0.98;2.21] 8,762 204
x1: number of endpoints among exposed, n1: number of exposed; x0: number of endpoints among non exposed, n0: number of non exposed; C: calculated odds ratio from numbers of events and effectives

Forest plot

StudyTE95% CIn casesn exposedweightROBABCDEF Muanda b (Controls unexposed, NOS), 2017Muanda b, 2017 1 1.70[1.27; 2.26]8,702-68%ROB confusion: seriousROB selection: lowROB classification: moderateROB missing: unclearROB mesure: moderateROB reporting: moderate Diav-Citrin, 2001Diav-Citrin, 2001 1.09[0.60; 1.98]6020432%ROB confusion: criticalROB selection: moderateROB classification: moderateROB missing: criticalROB mesure: criticalROB reporting: moderate Total (2 studies) I2 = 42% 1.47[0.98; 2.21]8,7622040.55.01.0ROB: A: confusion, B: selection, C: classification, D: missing, E: measurement, F: reportinglow,moderate,serious,critical,unclear,

1: Controls unexposed, NOS;

Sensitivity analysis

SubsetTE95% CIn casesn exposedkI2 Type of studies cohort studiescohort studies 1.09[0.60; 1.98]60204 -NADiav-Citrin, 2001 1 case control studiescase control studies 1.70[1.27; 2.27]8,702- -NAMuanda b (Controls unexposed, NOS), 2017 1 Type of controls unexposed (disease free or unspecified)unexposed (disease free or unspecified) 1.47[0.98; 2.21]8,76220442%NAMuanda b (Controls unexposed, NOS), 2017 Diav-Citrin, 2001 2 Tags Adjustment   - No  - No 1.09[0.60; 1.98]60204 -NADiav-Citrin, 2001 1   - Yes  - Yes 1.70[1.27; 2.27]8,702- -NAMuanda b (Controls unexposed, NOS), 2017 1 MatchedMatched 1.70[1.27; 2.27]8,702- -NAMuanda b (Controls unexposed, NOS), 2017 1 All studiesAll studies 1.47[0.98; 2.21]8,76220442%NAMuanda b (Controls unexposed, NOS), 2017 Diav-Citrin, 2001 20.55.01.0

Publication bias and p-hacking diagnosis

funnel plot

Funnel plot not drawn. Less than 3 points.

Asymetry test p-value = NaN (by Egger's regression)

not enought points

p values plot

Funnel plot not drawn. Less than 3 points.

Sub-groups analysis using all included studies

excluded 17598

Sub-groupsTE95% CIn casesn exposedkI2ROB type of controls unexposed controls (disease free or unspecified)unexposed controls (disease free or unspecified) 1.47[0.98; 2.21]8,76224842%NAMuanda b (Controls unexposed, NOS), 2017 Diav-Citrin, 2001 2 exposed to other treatment, sick controlsexposed to other treatment, sick controls 1.97[1.45; 2.67]8,70244 -NAMuanda b (Controls exposed to penicillins), 2017 10.510.01.0

Umbrella review (other published meta-analyses)

Published MAControlPeriodTE95% CIn exposedkI2 Ajiji (Spontaneous abortions (observational s ...Ajiji (Spontaneous abortions (observational studies)) 1.72[1.40; 2.12]72%-Wwhatever (meta-analysis)Anyduring pregnancy (anytime or not specified)studies TTT5 Ajiji (Spontaneous abortions (RCT))Ajiji (Spontaneous abortions (RCT)) 1.05[0.43; 2.55]NA-Wwhatever (meta-analysis)Anyduring pregnancy (anytime or not specified)studies TTT1 metaPregmetaPreg 1.47[0.98; 2.21]42%204----Muanda b (Controls unexposed, NOS), 2017 Diav-Citrin, 2001 20.510.01.0